The objective of this study was to identify the psychosocial factors influencing the use of medically assisted childbirth by qualified personnel in the city of Moundou, Chad. Data were collected through targeted surveys conducted in Moundou, involving a sample of 542 women. The analysis was performed using STAT software, version 15. Binary logistic regression within a multivariate framework was used to determine the factors affecting the dependent variable. The use of assisted delivery by qualified personnel in a medical setting in the city of Moundou was influenced by women’s perception of their ability to control their behaviour (Unfavourable: OR= 0.25; p ≤ 0.01), the woman’s level of education (secondary and above: OR= 2.34; p<0.01), the woman’s age (25 to 34 years: OR= 0.43; p<0.05), marital status (not in a union: OR=0.50; p<0.10), decision-making autonomy (spouse alone: OR = 0.46; p<0.05), ethnicity (Muslim ethnicity: OR=0.19; p<0.05), religion (Muslim: OR=4.87; p<0.05), spouse’s age (20 to 29 years old: OR=0.58; p<0.10), the woman’s occupation (shopkeeper/civil servant: OR=1.74; p<0.05) and the man’s level of education (primary: OR= 0.51; p<0.05). Identifying these factors can help policymakers enhance maternal health strategies and promote equitable access to skilled birth attendance.